摘要
目的 探究小腿及足踝部严重性创伤患者以显微外科修复手术治疗的效果。方法 选择2021年1月~2022年12月间，本院收治的小腿及足踝部严重性创伤患者100例作为研究对象。设计对照研究，抽签法随机分组，50例/组。对照组以传统修复术治疗，观察组以显微外科修复术治疗。比较两组：（1）治疗效果。（2）术后并发症发生率。（3）术后疼痛得分。（4）足踝功能恢复优良率。结果 （1）治疗效果中，观察组有效率98.00%，较对照组高（χ2=4.8913；P<0.05）。（2）术后并发症中，观察组发生率0.00%，较对照组低（χ2=4.1667；P<0.05）。（3）疼痛感中，观察组术后第1 d VAS得分为（3.20±0.98）分、术后第3 d VAS得分为（2.02±0.63）分、术后第7 d VAS得分为（1.04±0.35）分，较对照组低（T=4.8672；T=7.0037；T=9.9994；P<0.05）。（4）足踝功能中，观察组恢复优良率80.00%，较对照组高（χ2=4.7619；P<0.05）。结论 小腿及足踝部严重性创伤治疗中，显微外科修复手术治疗效果良好，可促进患者康复，且术式安全性更高，术后患者应激反应更轻，值得推广。
关键词： 小腿及足踝部严重创伤；显微外科修复手术治疗；治疗效果；术后并发症发生率；术后疼痛得分；足踝功能恢复优良率
Abstract
Objective To explore the effect of patients with severe leg and ankle trauma. Methods 100 patients with severe calf and ankle trauma between January 2022 period were selected from December 2021. A controlled study was designed, with lottery method for randomization, 50 cases / group. The control group was treated with conventional repair, and the observation group was treated with microsurgical repair. Compare the two groups: (1) the treatment effect.(2) Postoperative complication rate.(3) Postoperative pain score.(4) The excellent rate of foot and ankle function recovery. Results (1) In the treatment effect, the response rate of the observation group was 98.00%, higher than that of the control group (χ2=4.8913; P <0.05).(2) Among the postoperative complications, the incidence rate in the observation group was 0.00%, which was lower than that in the control group (χ2=4.1667; P <0.05).(3) In pain, the observation group scored 1 dVAS (3.20 ± 0.98), 3 d VAS (2.02 ± 0.63), and 7 dVAS (1.04 ±. 0.35), which was lower than the control group (T=4.8672; T=7.0037; T=9.9994; P <0.05).(4) In the foot and ankle function, the excellent recovery rate of the observation group was 80.00%, which was higher than that of the control group (χ2=4.7619; P <0.05). Conclusion In the treatment of severe calf and ankle trauma, microsurgical repair surgery has good effect, which can promote the recovery of patients, and the surgical safety is higher, and the postoperative stress response of patients is lighter, which is worth popularizing.
Key words： Severe trauma of lower leg and ankle; Microsurgical repair; Treatment effect; Incidence of postoperative complications; Postoperative pain score; Excellent recovery of foot and ankle function
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